Active NPI
David Ruzicka, DO
- Emergency Medicine Physician
- Humboldt, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 03221
- Practice address
- 1010 15TH St N
Humboldt, IA 50548-1008 - Phone
- (515) 332-2015
- NPI assigned
- Oct 28, 2005
- Last updated
- Sep 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 03221 | IA | Primary |
Addresses
Primary practice location
1010 15TH St N
Humboldt, IA 50548-1008
Mailing address
24 N 9TH St
Suite a
Fort Dodge, IA 50501-3905
Phone (515) 574-6890
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@pamhn.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Missouri, Kansas City, School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 1St St
Emmetsburg, IA 50536-2516
Phone (712) 852-5500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera Holy Family | Current | Accepting new patients | |
| Palo Alto County Hospital | Past | Accepting new patients |
Locations
826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Palo Alto County Hospital ER Physicians
- Emergency Medicine Physician
- Emmetsburg, IA
- NPI 1184634602
-
dba Avera Holy Family Hospital
- Critical Access Hospital
- Estherville, IA
- NPI 1508810177
-
- Critical Access Hospital
- Emmetsburg, IA
- NPI 1790793651
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Emmetsburg, IA
- NPI 1720099831
Nursing home
-
- Critical Access Hospital
- Emmetsburg, IA
- NPI 1790793651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1629069786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 N 9TH ST",
"address_2": "SUITE A",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505013905",
"telephone_number": "515-574-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 15TH ST N",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481008",
"telephone_number": "515-332-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUZICKA",
"first_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "03221",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@pamhn.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Palo Alto County Health Systems Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ccda",
"address_1": "3201 1st St",
"city": "Emmetsburg",
"state": "IA",
"country_code": "US",
"postal_code": "505362516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Humboldt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.